6 research outputs found
Grupo de familiares de indivĂduos com alteração de linguagem: o processo de elaboração e aplicação das atividades terapĂŞuticas
Dermatite infecciosa associada ao HTLV-I (DIH) infanto-juvenil e do adulto Infective dermatitis associated with the HTLV-I (IDH) in children and adults
A dermatite infecciosa associada ao HTLV-I (DIH) Ă© um tipo de eczema infectado e recidivante que incide em crianças que adquirem verticalmente a infecção pelo HTLV-I. Inicia-se apĂłs os 18 meses de idade. No entanto, existe relato recente de inĂcio na vida adulta. As lesões sĂŁo eritemato-descamativas, infectadas e freqĂĽentemente crostosas. Localizam-se, com maior freqĂĽĂŞncia, no couro cabeludo, regiões retroauriculares, pescoço e regiĂŁo inguinal, mas podem ser generalizadas. VĂŞem-se tambĂ©m fĂssuras retroauriculares, pápulas eritĂŞmato-descamativas e foliculares. Prurido discreto a moderado, secreção nasal crĂ´nica e blefaroconjutivite podem ser observados. A DIH sempre se associa Ă infecção por Staphylococcus aureus e/ou Streptococcus beta hemoliticus. O diagnĂłstico diferencial clĂnico deve ser feito com as dermatites atĂłpica e seborrĂ©ica e, do ponto de vista anatomopatolĂłgico, com a psorĂase e o linfoma cutâneo de cĂ©lulas T. SĂŁo discutidos os aspectos clĂnico-imunopatolĂłgicos, o diagnĂłstico diferencial e a evolução da DIH. Considerando a freqĂĽĂŞncia da DIH em Salvador, aconselha-se que seja feita sorologia para o HTLV-I em todos os casos de eczema severo em crianças e que essa possibilidade diagnĂłstica tambĂ©m seja considerada em adultos.<br>Infectious dermatitis associated with HTLV-I (IDH) is a form of infected and recurrent dermatitis which affects children vertically infected with HTLV-I. IDH starts after 18 months of age. The lesions are erythematous-scaly and frequently crusty and are more frequently located on the scalp and on the retroauricular regions, but the lesions may be generalized. Pustules, erythematous-scaly and follicular papulae and retroauricular fissures may also be observed. Children present mild to moderate pruritus, lesions in the nostrils, and blepharoconjunctivitis. IDH is always associated with Staphylococcus aureus infection and/or Streptococcus beta haemolyticus infection. The differential diagnosis with atopic and seborrheic dermatitis can be made clinically. Histologically it is important to make a differential diagnosis with psoriasis and cutaneous T-cell lymphoma. We discuss here the clinical-immuno-pathological aspects, the differential diagnosis, and the evolution of IDH. Considering the frequency of IDH in Salvador, Bahia, we suggest that children with severe eczema be submitted to routine serology for HTLV-I and that IDH be included in the differential diagnosis of dermatitis in adulthood
Physical and sexual aggression against elderly persons reported in the city of SĂŁo Paulo
Calibração de sondas capacitivas, funções fĂsico-hĂdricas e variação do armazenamento de água em um argissolo cultivado com palma forrageira
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien\u2013Dindo Grades III\u2013V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49\u20132.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46\u20130.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease